| Name: | Ford City RX LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Aug 2018 (6 years ago) |
| Entity Number: | 000-526-722 |
| Register Number: | 000526722 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 2800 HIGHWAY 101ROGERSVILLE, AL 35652 |
| Registered Office Street Address ZIP Code: | 35652 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255807350 | 2018-10-17 | 2023-05-12 | PO BOX 2584, MUSCLE SHOALS, AL, 356622584, US | 14490 COUNTY LINE RD, SUITE B, MUSCLE SHOALS, AL, 35661, US | |||||||||||||||||||||
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| Phone | +1 256-446-8400 |
| Fax | 2564469656 |
Authorized person
| Name | MICHAEL SIGMON |
| Role | MANAGING MEMBER |
| Phone | 2564468400 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 228468 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ADAY, KENNETH W JR | Agent | 2102 JACKSON AVEMUSCLE SHOALS, AL 35661 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
